MELANIE M PERKINS GRAHAM Advanced Practice Nurse License verification

Business Entity

NOT RENEWED

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****95

License Status

NOT RENEWED

Business

First Name

MELANIE M

Last Name

PERKINS GRAHAM

Business Name

MELANIE M PERKINS GRAHAM

Original Issue Date

11/09/2001

Effective Date

11/09/2001

Expiration Date

05/31/2006

City

PITTSFIELD

State

Zip

62363

County

PIKE

Ever Disciplined

LastModifiedDate

10/09/2006